Individual
TERI SUE KRUZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
Mailing address
281 LACLAIR ST, COOS BAY, OR 97420-2988
(541) 266-6700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
091006874RN
OR
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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